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Idaho rates for HCPCS 81228

Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.32 / $1,624.32 / $2,340.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $846.00 / $1,755.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $1,872.00 / $3,510.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.83 / $789.21 / $1,489.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.88 / $1,755.00 / $1,930.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $1,080.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.50 / $810.00 / $1,755.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,800.00 / $3,240.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.25 / $1,583.19 / $1,583.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $1,080.00